Individual
WESLEY E NIPPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 FAIRVIEW AVE, PONCA CITY, OK 74601-1920
(580) 762-7551
Mailing address
400 FAIRVIEW AVE, PONCA CITY, OK 74601-1910
(580) 762-7551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OK-5121
OK
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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